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General NPI Number Information
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NPI Number | 1245814466
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Entity Type | Organization
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Legal Business Name | SAKHO NP IN FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 11572 FRANCIS LEWIS BLVD
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1028
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Country | US
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Telephone | 718-276-8666
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Fax |
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Provider Business Mailing Address
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Address Line | 23 CLOVERFIELD RD S
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City | VALLEY STREAM
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State | NY
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Zip | 11581-2421
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Country | US
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Telephone | 917-362-8920
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MMAMAH SAKHO
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Credential |
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Telephone | 917-362-8920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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